United Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

UNITED MEDICAL SUPPLY LLC

Doing business as

united medical supply

Practice address

4875 S Sherwood Forest Blvd Ste A23
Baton Rouge, LA 70816-4640

Phone

(225) 505-7103

NPI assigned

Feb 15, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Omwanghe Godwin Osazemwinde

Title

Owner

Phone

(225) 505-7103

Specialties & licenses 1

Addresses

Other names 1

• united medical supply Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1376298711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10817 ELAIN DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708145224",
            "telephone_number": "225-505-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4875 S SHERWOOD FOREST BLVD STE A23",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164640",
            "telephone_number": "225-505-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "OSAZEMWINDE",
        "authorized_official_first_name": "OMWANGHE",
        "authorized_official_middle_name": "GODWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-505-7103"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "united medical supply",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "united medical supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Durable Medical Equipment & Medical Supplies in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.